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Question - PCMA Chapter (On the Job) 16-"Sophia DiStefano, a five-year-old female, experienced three bouts of otitis media within the past seven months and was diagnosed with chronic otitis media. Following an audiometry screen two weeks ago, Dr. Salpega recommended surgery to correct the underlying problem. Sophia's mother signed an informed consent for the procedure. Today, Dr. Salpega performs a bilateral tympanostomy (tube placement) for a more permanent treatment of the condition. David Dolan, a Registered Medical Assistant, needs to code for the procedure."
1. Should David code and bill for the audiometry screening? Why or why not?
2. What is the diagnosis related to Sophia's procedure? How can David ensure that the diagnosis is correct?
3. What procedure code should be assigned for a bilateral tympanostomy with local anesthesia? Is a modifier necessary?
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